Posters

Combined artificial iris and IOL scleral fixation for post-traumatic aphakia and aniridia: unexpected favourable cosmetic outcome after brown iris implantation in a patient with corneal arcus

Poster Details

First Author: A. Benson UK

Co Author(s): A. Khan                    

Abstract Details

Purpose:

A 77 year old patient was referred for secondary lens implantation after blunt trauma from a golf ball left him with both aniridia and aphakia. A brown coloured foldable iris implant was approved by the funding body, though the patient had light grey irides. The price difference between the default brown iris and a custom colour was significant as was the time required to order the custom-made implant.

Setting:

Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Trust, Bradford, BD9 6RJ, UK

Methods:

At the time of referral the patient had already undergone PPV and lens removal under the vitreoretinal surgeons. A three-piece MA60AC lens, power calculated as for sulcus placement, was fixed to the iris implant (Humanoptics) through belt-buckle incisions with micro forceps. The iris implant was fixed to sclera with two 7.0 Gore-tex sutures at 12 and 6 oclock. The lens haptics were attached via two scleral flaps 1.5 mm behind limbus. The overlying conjunctiva was closed using tisseal glue. An a/c maintainer and viscoelastic was used to protect corneal endothelium.

Results:

An excellent visual outcome was achieved with unaided vision of 6/12 improving to 6/9 with pinhole. Unexpectedly, the cosmetic outcome was also excellent despite the brown implant as the patients' co-existent corneal arcus perfectly mimics the colour of the fellow iris.

Conclusions:

Patients with significant corneal arcus and light iris colour can have very good cosmetic outcomes from iris implantation even with dark-coloured implants. This has significant cost and time savings associated as well as avoiding the need for high-definition photography.

Financial Disclosure:

None